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The ISPN Guide to Pediatric Neurosurgery

HomeSpinal Diseases and Anomalies in ChildrenCervical Spine Trauma in Children HomepageManagement of Cervical Spine Trauma in ChildrenThe Operation for Cervical Spine Trauma in ChildrenStructural Bone Graft With Wiring for Spine Fusion in Children

Structural Bone Graft With Wiring for Spine Fusion in Children

  • Interlaminar graft with sublaminar wiring: These grafts are also known as the Gallie-Sonntag or Brooks-Jenkins techniques (4,11,52).These fusions can span multiple levels.
  • External orthosis: An external orthosis is needed with this type of fusion to minimize movement during the fusion formation (12).
  • 18 months to 3 years: This type of fusion is useful for children from 18 months to 3 years in age.
  • Wire pull-through: When the lamina is only 1–2 mm thick, the wire may pull through the lamina or occiput, resulting in fusion failure.
Gallie-Sonntag fusion: \ Artist’s rendering of a Sonntag’s modified Gallie fusion of C1-C2 (52).
Intraoperative illustration of modified Gallie fusion in a child: The calvarial bone graft is secured between the laminae of C1 and C2 with sublaminar cables.

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